Individual
DR. CHARLES DAVID TALAKKOTTUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5106 N ARMENIA AVE, SUITE 1, TAMPA, FL 33603-1433
(813) 874-1852
(813) 227-8526
Mailing address
5106 N ARMENIA AVE, SUITE 1, TAMPA, FL 33603-1433
(813) 874-1852
(813) 227-8526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME100711
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280404200
—
FL
Enumeration date
12/19/2007
Last updated
05/21/2015
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